Dr Laura Mellick, MD - General Practice in Portland, OR

Dr Laura Mellick, MD is a General Practice physician based in Portland, Oregon. Dr Laura Mellick is licensed to practice in Oregon (license number MD17993) and her current practice location is 25 Nw 23rd Pl, Suite 11, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 305-6262.

NPI number for Dr Laura Mellick is 1851354872 and her current mailing address is Po Box 5275, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851354872.

Contact Information

Dr Laura Mellick, MD
25 Nw 23rd Pl, Suite 11,
Portland, OR 97210-5580
(503) 305-6262
(503) 305-6078

Map and Direction




Physician's Profile

Full NameDr Laura Mellick
GenderFemale
SpecialityGeneral Practice
Location25 Nw 23rd Pl, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851354872
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 09/06/2012

Medical Identifiers

Medical identifiers for Dr Laura Mellick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851354872NPI-NPPES
208975OtherWA L & I
057252MedicaidOR
858543007OtherREGENCE BC/BS
8182214MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD17993 (Oregon)Secondary
208D00000XGeneral Practice MD17993 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Laura Mellick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Laura Mellick, MD
Po Box 5275,
Portland, OR 97208-5275

Ph: (888) 828-3196
Dr Laura Mellick, MD
25 Nw 23rd Pl, Suite 11,
Portland, OR 97210-5580

Ph: (503) 305-6262

Reviews and Comments


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